S03890 Summary:

BILL NO    S03890 

SAME AS    SAME AS A05917

SPONSOR    BALL

COSPNSR    

MLTSPNSR   

Amd SS3216, 3221 & 4303, Ins L

Requires health insurance policies to provide coverage for screening, tests,
assessments and treatment including any medically necessary care for the
treatment of autism spectrum disorder, including Asperger's disorder and
pervasive developmental disorders.
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S03890 Actions:

BILL NO    S03890 

02/26/2013 REFERRED TO INSURANCE
01/08/2014 REFERRED TO INSURANCE
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S03890 Votes:

There are no votes for this bill in this legislative session.
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S03890 Memo:

Memo not available
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S03890 Text:

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________

                                         3890

                              2013-2014 Regular Sessions

                                   I N  S E N A T E

                                   February 26, 2013
                                      ___________

       Introduced  by  Sen.  BALL  --  read twice and ordered printed, and when
         printed to be committed to the Committee on Insurance

       AN ACT to amend the insurance  law,  in  relation  to  requiring  health
         insurance  policies  to  provide coverage for medically necessary care
         for the treatment of autism spectrum disorder

         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:

    1    Section  1.  Paragraph  25  of  subsection  (i) of section 3216 of the
    2  insurance law is amended by adding a new subparagraph  (H)  to  read  as
    3  follows:
    4    (H)  EVERY  POLICY  WHICH PROVIDES COVERAGE FOR HOSPITAL, SURGICAL, OR
    5  MEDICAL CARE COVERAGE SHALL PROVIDE ANY AND  ALL  DIAGNOSTIC  SCREENING,
    6  TESTS,  AND  ASSESSMENTS AND TREATMENT INCLUDING MEDICAL CARE, CONSULTA-
    7  TION, HABILITATION, REHABILITATION, SPEECH, BEHAVIORAL, OCCUPATIONAL AND
    8  PHYSICAL THERAPIES, PEDIATRIC, NEUROLOGICAL, GASTRO-ENTEROLOGIC, AND ANY
    9  OTHER MEDICALLY NECESSARY CARE THAT IS PROVIDED BY A  LICENSED  PROVIDER
   10  REQUIRED  FOR  THE  TREATMENT  OF  AUTISM  SPECTRUM  DISORDER, INCLUDING
   11  ASPERGER'S DISORDER AND PERVASIVE DEVELOPMENTAL DISORDERS AS  DETERMINED
   12  BY THE TREATING PHYSICIAN.
   13    S  2.  Paragraph 17 of subsection (1) of section 3221 of the insurance
   14  law is amended by adding a new subparagraph (H) to read as follows:
   15    (H) EVERY POLICY WHICH PROVIDES COVERAGE FOR  HOSPITAL,  SURGICAL,  OR
   16  MEDICAL  CARE  COVERAGE  SHALL PROVIDE ANY AND ALL DIAGNOSTIC SCREENING,
   17  TESTS, AND ASSESSMENTS AND TREATMENT INCLUDING MEDICAL  CARE,  CONSULTA-
   18  TION, HABILITATION, REHABILITATION, SPEECH, BEHAVIORAL, OCCUPATIONAL AND
   19  PHYSICAL THERAPIES, PEDIATRIC, NEUROLOGICAL, GASTRO-ENTEROLOGIC, AND ANY
   20  OTHER  MEDICALLY  NECESSARY CARE THAT IS PROVIDED BY A LICENSED PROVIDER
   21  REQUIRED FOR  THE  TREATMENT  OF  AUTISM  SPECTRUM  DISORDER,  INCLUDING
   22  ASPERGER'S  DISORDER AND PERVASIVE DEVELOPMENTAL DISORDERS AS DETERMINED
   23  BY THE TREATING PHYSICIAN.

        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD07306-01-3
       S. 3890                             2

    1    S 3. Subsection (ee) of section 4303 of the insurance law  is  amended
    2  by adding a new paragraph 8 to read as follows:
    3    (8)  EVERY  POLICY  WHICH PROVIDES COVERAGE FOR HOSPITAL, SURGICAL, OR
    4  MEDICAL CARE COVERAGE SHALL PROVIDE ANY AND  ALL  DIAGNOSTIC  SCREENING,
    5  TESTS,  AND  ASSESSMENTS AND TREATMENT INCLUDING MEDICAL CARE, CONSULTA-
    6  TION, HABILITATION, REHABILITATION, SPEECH, BEHAVIORAL, OCCUPATIONAL AND
    7  PHYSICAL THERAPIES, PEDIATRIC, NEUROLOGICAL, GASTRO-ENTEROLOGIC, AND ANY
    8  OTHER MEDICALLY NECESSARY CARE THAT IS PROVIDED BY A  LICENSED  PROVIDER
    9  REQUIRED  FOR  THE  TREATMENT  OF  AUTISM  SPECTRUM  DISORDER, INCLUDING
   10  ASPERGER'S DISORDER AND PERVASIVE DEVELOPMENTAL DISORDERS AS  DETERMINED
   11  BY THE TREATING PHYSICIAN.
   12    S  4. This act shall take effect on the first of January next succeed-
   13  ing the date on which it shall have become a law and shall apply to  all
   14  policies  or  contracts issued, renewed, modified, altered or amended on
   15  and after such effective date.
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